College Street Health Care Center

4150 College St · Beaumont, TX · 77707 · 4098422244

50 certified beds Government - Hospital district Chain: Health Services Management

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

RN staffing in the bottom 10% nationally

0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 84
Staffing 20% 53
Federal penalties 15% 100
Trend 10% 45
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.483.48 min · 4.1 strong
RN hours / resident-day0.280.55–0.75
Weekend hours / resident-day3.26≈ weekday level
Nursing turnover / year58%median 45%
Fines (3-yr window)none

Inspection citations (22 in the current record)

  • Potential for harm · E August 6, 2025

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected August 28, 2025 · Resident Rights

  • Potential for harm · E August 6, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 28, 2025 · Pharmacy Service

  • Potential for harm · E August 6, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 28, 2025 · Pharmacy Service

  • Potential for harm · D August 6, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected August 28, 2025 · Pharmacy Service

  • Potential for harm · E August 6, 2025

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Corrected August 28, 2025 · Pharmacy Service

  • Potential for harm · D August 6, 2025

    Provide and implement an infection prevention and control program.

    Corrected August 28, 2025 · Infection Control

  • Potential for harm · D June 3, 2025 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected April 9, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 3, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D June 3, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 25, 2025 · Infection Control

  • Potential for harm · D July 17, 2024

    Assess the resident when there is a significant change in condition

    Corrected August 5, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 17, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected August 5, 2024 · Quality of Life and Care

  • Potential for harm · E July 17, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 5, 2024 · Pharmacy Service

  • Actual harm · G June 14, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected April 18, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 14, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected July 5, 2023 · Resident Rights

  • Potential for harm · D June 14, 2023

    Ensure each resident receives an accurate assessment.

    Corrected July 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 14, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 14, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected July 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 14, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 5, 2023 · Quality of Life and Care

  • Potential for harm · E June 14, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 5, 2023 · Nutrition and Dietary

  • Potential for harm · D June 14, 2023

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected July 5, 2023 · Nutrition and Dietary

  • Potential for harm · E June 14, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 5, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 14, 2023

    Provide and implement an infection prevention and control program.

    Corrected July 5, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675695 · certified since July 10, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.